Quality of life in patients undergoing orthognathic surgery – A two-centered Swedish study

Silva, I.; Cardemil, Carina; Kashani, Hossein; Bazargani, Farhan; Tarnow, Peter; Rasmusson, Lars; Suska, Felicia

doi:10.1016/j.jcms.2016.04.005

Cited by 56 publications

(35 citation statements)

References 19 publications

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“…This treatment comprises 3 stages: pre-surgical orthodontic treatment; orthognathic surgery; and post-surgical orthodontic treatment. Many longitudinal studies have focused solely on change in QOL between before and after orthognathic surgery 2,4,8,11,13,[18][19][20]22,24,28,32,33,35,37) . However, patient QOL needs to be evaluated over the entire period of treatment, as change in QOL can be expected to take place at each stage: the patient will likely have expectations and anxiety regarding orthognathic surgery and the esthetic and functional deterioration that is likely to follow dental decompensation; they will also be concerned about how such surgery will improve facial appearance and function and the stress of undergoing orthodontic treatment.…”

Section: Introductionmentioning

confidence: 99%

Condition-specific Quality of Life Assessment at Each Stage of Class III Surgical Orthodontic Treatment —A Prospective Study—

Tachiki

Nishii

Takaki

et al. 2018

Bull. Tokyo Dent. Coll.

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Surgical orthodontic treatment has been reported to improve oral health-related quality of life (OHRQL). Such treatment comprises three stages: pre-surgical orthodontic treatment; orthognathic surgery; and post-surgical orthodontic treatment. Most studies have focused on change in OHRQL between before and after surgery. However, it is also necessary to evaluate OHRQL at the pre-surgical orthodontic treatment stage, as it may be negatively affected by dental decompensation compared with at pre-treatment. The purpose of this prospective study was to investigate the influence of surgical orthodontic treatment on QOL by assessing change in condition-specific QOL at each stage of treatment in skeletal class III cases. Twenty skeletal class III patients requiring surgical orthodontic treatment were enrolled in the study. Each patient completed the Orthognathic Quality of Life Questionnaire (OQLQ), which was developed for patients with dentofacial deformity. Its items are grouped into 4 domains: "social aspects of dentofacial deformity"; "facial esthetics"; "oral function"; and "awareness of dentofacial esthetics". The questionnaire was completed at the pre-treatment, pre-surgical orthodontic treatment, and post-surgical orthodontic treatment stages. The results revealed a significant worsening in scores between at pre-treatment and pre-surgical orthodontic treatment in the domains of facial esthetics and oral function (p<0.01), and between at pre-surgical orthodontic and post-surgical orthodontic treatment in all domains except awareness of dentofacial esthetics (p<0.05, p<0.01). A significant correlation was observed between a negative change in overjet and worsening OQLQ scores at the pre-surgical orthodontic treatment stage. Significant correlations were also observed between improvement in upper and lower lip difference, soft tissue pogonion protrusion, and ANB angle and improvement in OQLQ scores at the post-surgical orthodontic treatment stage. These results indicate that morphologic change influences OHRQL in patients undergoing surgical orthodontic treatment not only after surgery, but also during pre-surgical orthodontic treatment.

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Section: Introductionmentioning

confidence: 99%

Condition-specific Quality of Life Assessment at Each Stage of Class III Surgical Orthodontic Treatment —A Prospective Study—

Tachiki

Nishii

Takaki

et al. 2018

Bull. Tokyo Dent. Coll.

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“…The concept that surgical correction of dentofacial deformities have both physical and psychological impact on quality of life and concluded in their study significant improvement on it [6], the psychological factors and aesthetics exert a strong influence on the patient´s quality of life, and determine major changes more than functional aspects do [7].…”

Section: Discussionmentioning

confidence: 99%

Surgical Orthodontic Treatment for a Skeletal Class III Young Patient with Tongue Thrust Habit

Arm¹,

Benitez²,

Oscar³

2017

J Den Craniofac Res

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This article describes the treatment of a skeletal Class III patient with a severe anterior cross-bite, open-bite, crowding and a tongue thrust habit. Two treatment options were proposed: -conventional orthodontics to camouflage the skeletal anomaly and traditional orthodontics/orthognathic surgery approach. The surgical orthodontic approach was selected, but treatment was started 3 years 8 months from the treatment plan presentation appointment. Surgery was scheduled when pre-surgical orthodontics was finished; a Le Fort I osteotomy was performed for maxilla advancement and a bilateral sagital split osteotomy (BSSO) for mandibular setback. Post-surgical orthodontics was applied for finishing and detailing the occlusion. Total treatment time was 24 months. Good facial balance and occlusal relationships were achieved.

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“…This tool is widely used in dentistry to estimate the effectiveness of orthopedic rehabilitation of dental patients [3,7], after orthognatic and reconstructive surgeries [5,15] to study new methods of parodontitis treatment [2] etc. However the test sensitivity of this method with regard to the estimation of quality of life in early post-operative period in the alveolar ridge area is of special interest [4,12].…”

Section: Actualitymentioning

confidence: 99%

The impact of acute post-extraction oroantral communications surgical treatment on patients' quality of life in early post-operative period

Got

Sorokivskyi

Medvid

2017

ZMJ

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The research objective is to study the impact of plastic surgery different methods of acute post-extraction oroantral communications treatment on patients' quality of life in early post-operative period. Materials and methods.The study included 41 patient aged between 18 and 58 years receiving treatment of maxillary sinus perforation, which was caused by tooth extraction. The patients were divided into 3 groups -14, 12 and 15 persons respectively. Plastic surgery of the oroantral communication in the first group was done in accordance with the methods suggested by the authors using collagen cone and membrane. The same surgery in the second group was done with PRF (Platelet-rich fibrin). In the third (control group), the communication was closed by the vestibular flap following the Rehrmann method.Results of patients' quality of life evaluation after plastic surgery treatment of acute post-extraction oroantral communication show the decrease of its general indicator in early post-operative period in all groups of patients. The general quality of life indicator (well-being indicator) shows a tendency to increase over the first 24 hours after the surgery in both study and control groups. This may mean that a relatively small trauma in a maxillofacial area has a significant influence on patients' perception of their condition and well-being. Absolute numbers of well-being indicator over the first 24 hours after the surgery in the third group were almost 1.5 times higher than those in the groups 1 and 2. In a comparative study of the groups 1 and 3 and then the groups 2 and 3, we observed a significant difference between well-being indicator levels (P < 0.01). The control group demonstrated the return to the pre-operative life quality values on the 7-th day after the surgery. While at the same time, those values in the study groups were equal to the pre-operative ones already on the 4-th day.Conclusions. Operation trauma which was caused by the plastic surgery for closure of acute oroantral communication leads to the decrease of patients' quality of life (oral-related conditions), which correlates with the volume of a surgery and its complexity. The use of less traumatic methods of oroantral communication plastics facilitate the statistically significant decrease of these plastics negative impact on patients' quality of life in early post-operative period and enables the earlier recovery.Вплив хірургічного усунення гострих післяекстракційних ороантральних сполучень на якість життя пацієнтів у ранньому післяопераційному періоді І. М. Готь, І. С. Сороківський, Ю. О. Медвідь Мета роботи -встановлення впливу різних методик пластики гострих післяекстракційних ороантральних сполучень на якість життя пацієнтів у ранньому післяопераційному періоді.Матеріали та методи. До дослідження залучили 41 пацієнта віком від 18 до 58 років, які перебували на амбулаторному лікуванні з приводу перфорацій верхньощелепного синуса, що виникли внаслідок операції видалення зуба. Пацієнтів поділили на 3 групи по 14, 12 та 15 осіб відповідно. У ...

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Quality of life in patients undergoing orthognathic surgery – A two-centered Swedish study

Cited by 56 publications

References 19 publications

Condition-specific Quality of Life Assessment at Each Stage of Class III Surgical Orthodontic Treatment —A Prospective Study—

Condition-specific Quality of Life Assessment at Each Stage of Class III Surgical Orthodontic Treatment —A Prospective Study—

Surgical Orthodontic Treatment for a Skeletal Class III Young Patient with Tongue Thrust Habit

The impact of acute post-extraction oroantral communications surgical treatment on patients' quality of life in early post-operative period

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